Abstract

Malnutrition has been widely recognized as a grave burden restricting the progress of underdeveloped and developing countries. Maternal, neonatal and postnatal nutritional immunity provides an effective approach to decrease the risk of malnutrition associated stress in adulthood. Particularly, maternal nutritional status is a critical contributor for determining the long-term health aspects of an offspring. Maternal malnutrition leads to increased risk of life, poor immune system, delayed motor development and cognitive dysfunction in the children. An effective immunomodulatory intervention using nutraceutical could be used to enhance immunity against infections. The immune system in early life possesses enormous dynamic capacity to manage both genetic and environment driven processes and can adapt to rapidly changing environmental exposures. These immunomodulatory stimuli or potent nutraceutical strategy can make use of early life plasticity to target pathways of immune ontogeny, which in turn could increase the immunity against infectious diseases arising from malnutrition. This review provides appreciable human and animal data showing enduring effects of protein deprivation on CNS development, oxidative stress and inflammation and associated behavioral and cognitive impairments. Relevant studies on nutritional supplementation and rehabilitation using Spirulina as a potent protein source and neuroprotectant against protein malnutrition (PMN) induced deleterious changes have also been discussed. However, there are many futuristic issues that need to be resolved for proper modulation of these therapeutic interventions to prevent malnutrition.

Highlights

  • Rapid industrialization and commercialization have changed our living standard and dietary habits

  • We further investigated the oligodendrocyte genesis, differentiation, maturation and myelination through immunohistochemistry and quantitative PCR using the expression of myelin associated glycoproteins (MAG), proteolipid protein (PLP), myelin oligo glycoprotein (MOG) and platelet derived growth factor receptor α (PDGFRα) and found reduced expression of myelin proteins depicting impaired myelination and linked behavioral dysfunction following intragenerational protein restricted model (Patro et al, 2018)

  • Any environmental stress during critical periods of CNS development affects the developmental profile of an individual

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Summary

INTRODUCTION

Rapid industrialization and commercialization have changed our living standard and dietary habits. Several studies demonstrated that maternal malnutrition alters the fetal genome and increases the risk of neuropsychiatric disorders including depression, schizophrenia, aggression, hyperactivity and antisocial behavior (Duran et al, 2005; Galler et al, 2005). It reduces the thickness of the visual cortex, parietal neocortex, dentate gyrus, CA3 and cerebellum (Noback and Eisenman, 1981; Díaz-Cintra et al, 1990; Ranade et al, 2012). This review is focused on the effects of malnutrition on fetal programming, CNS development, oxidative stress, inflammation and various nutritional supplementation and rehabilitation strategies with special attention on neuroprotective role of Spirulina against PMN induced changes

MATERNAL NUTRITION AND FETAL PROGRAMMING
PROTEIN MALNUTRITION AND CNS DEVELOPMENT
OXIDATIVE STRESS IN PROTEIN MALNUTRITION
MALNUTRITION AND INFLAMMATION
Main findings
Rats Human
Rat Human Mice Human Rat Human
NUTRITIONAL SUPPLEMENTATION FOR PROTEIN MALNUTRITION
NUTRITIONAL COMPOSITION OF SPIRULINA
SPIRULINA AS A NEUROPROTECTANT
Findings
CONCLUSION AND RECOMMENDATION
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